MR. JUAN CARLOS HERRAEZ SANCHEZ PA-C
NPI 1023342961
Physician Assistant - Medical in Pueblo, CO

Q: What is Juan Herraez Sanchez's NPI number?

The NPI number for Juan Herraez Sanchez is 1023342961. It was assigned to this individual provider in the NPPES registry on September 24, 2009. The provider is also known as Mr. Juan Carlos Herraez Pa-C.

Q: What is Juan Herraez Sanchez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since September 24, 2009PECOS Enrolled

1600 W 24TH ST, PUEBLO, CO 81003(719) 546-4000 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Dec 22, 2022 (2 updates tracked since 2022).

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About Mr. Juan Carlos Herraez Sanchez Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JUAN CARLOS HERRAEZ SANCHEZ PA-C (NPI 1023342961) is an individual medical provider in Pueblo, Colorado, licensed in Colorado (2876) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pueblo.

NPPES Registry Identity

NPI1023342961

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. JUAN CARLOS HERRAEZ SANCHEZCredential: PA-C

Location Address1600 W 24TH STPueblo, CO 81003-1411

Mailing Address1600 W 24th StPueblo, CO 81003-1411 · (719) 546-4402

Phone(719) 546-4000

Sole ProprietorNo

Enumeration DateSeptember 24, 2009

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedDecember 22, 2022

✔ NPI 1023342961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · 2876

1600 W 24TH ST, Pueblo, CO 81003

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Other Names 1

Other Name (5)Mr. Juan Carlos Herraez Pa-c

Secondary Practice Location 1

Location 11008 Minnequa AvePueblo, CO 81004-3733 · Phone (719) 557-5656 · Fax (719) 557-4715

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Juan Carlos Herraez Sanchez Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT LOUIS MANGUSO M.D.

Internal Medicine